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15954 Jackson Ck Pk" B281 15954 Jackson Ck P" B281 <br /> Street Street <br /> P.O.Box P.O.Box <br /> Monument CO 80132 Monument, CO 80132 <br /> City,State,Zip City,State,Zip <br /> V19 ) 237-5914 (19 ) 237-5914 <br /> Telephone Telephone <br /> Fax Fax <br /> 4. APPLICATION FEE: $86. (NOIs require an $86 fee which must accompany this notice <br /> or it cannot be processed by the Division). <br /> S. <br /> LOCATION INFORMATION: <br /> County: Clear Ctreek <br /> Principal Meridian (check one): <br /> ✓M 6th(Colorado) loth Ute <br /> El (New Mexico) <br /> Section (write number) 17 TOWNSHIP N S n <br /> RANGE 73 E F[—] W <br /> [W <br /> QUARTER SECTION (check one): <br /> NE ❑E NW ❑ SE SW ❑ <br /> QUARTER/QUARTER SECTION (check one): <br /> NE ❑ NW ❑ SE SW ❑� <br /> GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the <br /> approximate elevation): <br /> 620 Stanley Rd, Idaho Springs CO 80432, 81500 <br /> Form 2—Public File Page 2 of 14 <br />